Individual
ERIN ELISE PEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1234 E DUPONT RD STE 3, FORT WAYNE, IN 46825
(260) 672-6590
(260) 672-6599
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005562A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01043132
STATE LICENSE FOR JEFFERSON PEDIATRICS
IN
05
—
100465770
—
IN
01
—
71005562A
APN LICENSE
IN
01
—
71005562B
CSR LICENSE
IN
Enumeration date
07/18/2015
Last updated
09/18/2018
About Stedi
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